| Rochester Center For Autism, Inc | |
|
1220 4th Ave Sw Rochester MN 55902-3834 | |
| (507) 424-3234 | |
| (507) 424-3235 |
| Full Name | Rochester Center For Autism, Inc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 1220 4th Ave Sw, Rochester, Minnesota |
| Authorized Official Name and Position | Mandy Marie Eggert (DIRECTOR/PROGRAM SUPERVISOR) |
| Authorized Official Contact | 5074243234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Center For Autism, Inc 1220 4th Ave Sw Rochester MN 55902-3834 Ph: (507) 424-3234 | Rochester Center For Autism, Inc 1220 4th Ave Sw Rochester MN 55902-3834 Ph: (507) 424-3234 |
| NPI Number | 1730179995 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730179995 | NPI | - | NPPES |
| 265K2RO | Other | MN | BCBS OF MN PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | LP0911 (Minnesota) | Primary |
Sheila M. Daley, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 First Avenue Nw, Suite 210, Rochester, MN 55901 Phone: 507-273-2034 Fax: 507-424-1052 | |
Wisconsin Lutheran Child & Family Service ,inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 Stonehedge Dr Ne, Rochester, MN 55906 Phone: 800-438-1772 Fax: 262-345-5562 | |
Bluestem Center For Child And Family Development, P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Elton Hills Ln Nw, Rochester, MN 55901 Phone: 507-282-1009 | |
Mariposa Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Elton Hills Dr, Rochester, MN 55901 Phone: 507-424-4016 Fax: 507-424-4017 | |
Ken Wadum, Ed.d. Lp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902 Phone: 507-280-0225 | |
Amar Wellness Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6556 Clarkia Dr Nw, Rochester, MN 55901 Phone: 507-289-0385 | |
New Leaf Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 1/2 7th St Nw Ste 208, Rochester, MN 55901 Phone: 507-200-0224 |